| NPI | 1083325385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 101YA0400X) |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2025-05-16 |